- Humana (Austin, TX)
- …community and help us put health first** The Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation ... documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data … more
- The Hartford (San Antonio, TX)
- …of key processes, continuous improvement initiatives, and changes in trends in Claims . The individual will perform diagnostic analytics to identify underlying causes ... for performance and trend change. The individual will partner with teammates in Claims Strategy and Optimization, Claims Performance Analytics, Claims Data… more
- Lockheed Martin (Grand Prairie, TX)
- **Description:** You will be the Contracts Management Sr, responsible for leading contract management functions for the Precision Fires Line of Business at ... and Fire Control\. Our team is responsible for delivering exceptional contract management expertise to support the GMLRS / ER\-GMLRS Transition to Production… more
- Methodist Health System (Dallas, TX)
- …candidate will possess a strong background in A/R follow up for family and specialty claims , able to identify, address, and resolve no response claims , denied ... preferred - Two to four years of experience in healthcare revenue cycle management . - Proficiency in medical billing software EPIC and electronic health record (EHR)… more
- Humana (Austin, TX)
- …in Texas and other states. This is accomplished by analysis and adjudication of claims , appeals, and potential quality of care issues. The Dental Director - Texas ... with review policies, procedures, and performance standards. o Review dental claims consistent with current ADA CDT terminology and current professional standards… more
- Southland Holdings (Grapevine, TX)
- Job Title: Construction Contract Manager Reports To: Director of Commercial Management Location: Grapevine, TX Department: Commercial Management / Project ... in Grapevine, TX. The Construction Contract Manager leads contract management across project lifecycles, handling negotiations with clients, subcontractors,… more
- CVS Health (Austin, TX)
- …to litigated claims . + Strong attention to detail and project management skills. + Experience overseeing and answering written discovery. + Ability to work ... **Position Summary** As a Product Liability Litigation Adjuster, Risk Management , you will be responsible for managing lawsuits and...activities. + Utilizing legal skills to oversee and manage claims against CVS from the initiation of suit through… more
- Baylor Scott & White Health (Temple, TX)
- …validating, and ensuring the accuracy of EDI transactions related to healthcare claims . This role involves working closely with developers, business analysts, and ... EDI teams to ensure that claims data meets internal standards and regulatory compliance (HIPAA,...QA reports, and audit logs. + Participate in release management and deployment testing processes. **Preferred Qualifications:** + Bachelor's… more
- Highmark Health (Austin, TX)
- …met. Individual contributor roles as needed. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but not limited to: involved in hiring ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the… more
- Defense Logistics Agency (Fort Sam Houston, TX)
- …new or modifies work methods, organizational structures, records, files, management processes, staffing patterns, procedures for administering program services, ... region. Requirements Conditions of Employment Qualifications To qualify for a Management and Program Analyst, your resume and supporting documentation must support:… more